THE DRUG & ALCOHOL TREATMENT CENTERS INDUSTRY

(September 2000 - 3rd Edition)

PRELIMINARY TABLE OF CONTENTS

( Estimated 140+ pages)

Introduction, Sources & Methodology Used

Executive Overview & Major Findings

* Discussion of major industry trends & issues, structure of treatment programs & facilities,

effects of managed care, substance abuser demographics, industry size/growth/2004 forecasts,

findings of telephone surveys of top program administrators, associations, recent gov’t.

surveys, industry experts.

Summary & Nature of the Industry

* Discussion of different types of centers (for-profit, non-profit, private/government), typical programs offered, success rates, recognized indicators of program quality, inpatient vs. outpatient care, etc.

Industry Structure and Competition

* Summary & analysis: no. of facilities, utilization rates, avg. annual revenues and patients per

facility, state mkt. potentials, etc.

* Estimated annual revenues per bed for industry (1997, 1993, 1989), for selected top facilities

in the U.S.

* Occupancy/capacity utilization rates: total industry vs. top facilities (1991, 1993, 1999)

* Avg. program cost per patient (1997, 1993, 1989), for industry vs. leading facilities,

adult/adolescent program costs

* List/Ranking of top alcohol/chemical dependency facilities & hospitals in U.S., by bed size,

no. of admissions, avg. stay:

Industry Size, Growth, Segments, Forecasts

* How drug/alcohol rehab centers are classified within government statistics & broader

industries they’re part of (specialty hospitals & outpatient facilities, taxable & tax-exempt

establishments

* Estimates of industry size (revenues): 1987-1997, 2004F - rationale for estimates, factors

likely to affect growth (federal/state budgets, managed care, employee drug testing,

enforcement programs, EAPs, fees), results of Marketdata phone surveys, etc.

* Medicare payments to drug/alcohol rehab patients: 1984 to date

Private Sector Employee Drug Screening - A Status Report

* Discussion of scope of testing in U.S., results of recent surveys on percent of companies

testing, % with limitations on treatment services, types of drug tests/options, reasons for not

testing

* Where we’ve come since drug testing began: 1987 vs. today, costs

* Employee Assistance programs (EAPs): definition of, relationship with D & A treatment

programs, potential abuses/problems, emerging trends/use/demand

* Drug testing by the insurance industry: discussion, top 4 companies performing 85% of insur.

indy. testing (address, phone)

* Size of the drug test market in $ - 1989-1999, growth, major competitors, AMA surveys

* The Public Sector - testing of federal employees (transportation workers), no. of labs NIDA-

certified, lab requirements, typical cost of tests (no. of workers tested )

Federal Government Support for Drug Abuse Treatment

& Prevention Programs - A Status Report

Findings of 1999 SAMHSA (National Drug & Alcoholism

Treatment Unit) Government Survey

* Summary/analyses of survey findings, no. of facilities, clients in treatment(by substance of abuse, sex, etc.) & demographics, facility ownership, programs for special groups, services offered, beds available, funding, etc.

Tables:

*Number of facilities and clients in treatment: 1990-1997

*Treatment facilities by ownership, organizational setting, clients in treatment: 1990-1997

*Substance abuse clients by sex, race, age, type of care: 1990-1997

*Treatment facilities by ownership and organizational setting: 1997

*Treatment facilities by number of clients per facilities by ownership/organ. setting: 1997

*Treatment facilities’ beds available by utilization rate: 1997

*Treatment facilities’ inpatient beds available by utilization rate, ownership: 1997

*Annual facility revenue, by source, by ownership: 1997

*Number of substance abuse treatment clients, by organizational setting: 1997

*Number of substance abuse treatment clients, by organ. setting/ownership: 1997

*Substance abuse clients by type of care, by ownership/organ. setting: 1997

*Substance abuse clients by sex, race, age, by type of care: 1997

*Substance abuse clients by substance of abuse, by facility ownership: 1997

State Resources & Services For Alcoholism & Drug Abuse Problems: For

Fiscal 1996 & 1997

* Summary/highlights of major findings: State expenditures 1991-1996, Alcohol and Drug Client Admissions by type of service, by sex, by age, by race, by primary drug of abuse, trends

(Each of the tables below presents data individually for all 50 states, and the U.S. totals. All data are for fiscal year 1996. )

Tables:

*Number of Alcohol and Other Drug Client Treatment Admissions for Fiscal Year 1996

*Number of Alcohol and Other Drug Client Treatment Admissions by Type of Service and by

State for Fiscal Year 1996

*Number of Alcohol Client Treatment Admissions by Sex and by State for Fiscal Year 1996

*Number of Alcohol Client Treatment Admissions by Age and By State for Fiscal Year 1996

*Number of Alcohol Client Treatment Admissions by Age, by Sex, and by State

for Fiscal Year 1996

*Number of Alcohol Client Treatment Admissions By Race/Ethnicity, and By State for Fiscal

Year 1996

*Number of Drug Client Treatment Admissions by Sex and By State for Fiscal Year 1996

*Number of Client Drug Treatment Admissions by Age and by State for Fiscal Year 1996

*Number of Drug Client Treatment Admissions by Age, by Sex, and by State

for Fiscal Year 1996

*Number of Drug Client Treatment Admissions by Race/Ethnicity & by State for Fiscal Year

1996

Findings of 1998 National Household Survey On Drug Abuse

*Summary and highlights: Number of illicit drug users, alcohol abusers, trends in first time use of substances, historical trends from 1991-1997

Tables

*Number of lifetime users of illicit drugs, alcohol, tobacco: 1979-1998

*Number of past year users of illicit drugs, alcohol, tobacco: 1979-1998

*Percentage of people reporting lifetime, past year, past month use of drugs, alcohol,

tobacco, 1997 and 1998

*Estimated number of marijuana, cocaine, and alcohol users in U.S. population: 1985-1998

Competitor Profiles of The Leading Treatment Organizations

and Multi-Center Chains

(For each organization, a discussion of: history/founding, description of major programs and services, estimated/actual revenues, no. of facilities, fees, mergers/divestitures, recent developments)

* The Caron Foundation

* Comprehensive Care Corp.

* Roger Williams Medical Center

* Hazelden Foundation

* Lutheran General Hospital

* Liberty Management (formerly The Mediplex Group)

Directory of Industry Reference Sources

* Name/address/phone listing of drug & alcohol abuse-related industry trade associations, government reports, major EAP industry trade journals, hotline phone numbers, etc.